Provider Demographics
NPI:1881695146
Name:UPMC MERCY
Entity type:Organization
Organization Name:UPMC MERCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-647-7713
Mailing Address - Street 1:600 GRANT STREET, US STEEL TOWNER, 59TH FLOOR
Mailing Address - Street 2:C/O RENEE JOHNSON
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-2740
Mailing Address - Country:US
Mailing Address - Phone:412-623-6303
Mailing Address - Fax:412-623-6369
Practice Address - Street 1:1400 LOCUST ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5114
Practice Address - Country:US
Practice Address - Phone:412-232-7509
Practice Address - Fax:412-232-8409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA13610100261Q00000X, 282N00000X
276400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA003900282Medicaid
WV0172150000Medicaid
PA60301Medicaid
PA0007523OtherACUTE/OUTPATIENT
OH5887527Medicaid
MD005615400Medicaid
PA0063OtherACUTE/OUTPATIENT
PA1001380890017Medicaid
FL92328100Medicaid
PA1000177Medicaid
PA109341Medicaid
PA7284OtherACUTE/OUTPATIENT
PA8773OtherHEALTH AMERICA ACUTE
MA1005537Medicaid
PA0063OtherACUTE/OUTPATIENT
MD005615400Medicaid
FL92328100Medicaid